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Partial nephrectomy series using Versius robotic surgical system: technique and outcomes of an initial experience

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Abstract

Partial nephrectomy (PN) represents a procedure where the use of a robot has further enabled successful completion of this complex surgery. The results of this procedure using Versius Robotic Surgical System (VRSS) still need to be evaluated. Our working group described the technique and reported the initial results of a series of PN using VRSS. We presented our setting, surgical technique and outcomes for PN, using VRSS. Between 2022 and 2023, 15 patients underwent PN performed by two surgeons in two different centers. Fifteen patients underwent PN. The median lesion size identified on preoperative imaging was 4 (IQR 2.3–5) cm. Median PADUA score was 8 (IQR 7–9). Two procedures were converted to radical nephrectomy for enhanced oncological disease control. Of the 13 nephrectomies that were completed as partial, 7 were performed clampless and 6 with warm ischemia clamping. Median clamping time was 10 (IQR 9–11) minutes. No procedure was converted to open. Median blood loss was 200 (IQR 100–250) mL. Median total operative time was 105 (IQR 100–110) minutes. Median console time was 75 (IQR 66–80) minutes. Median set-up time was 13 (IQR 12–14) minutes. No intraoperative complications were reported. The median hospitalization time was 4 (IQR 3.5–4) days. None of the patients were transfused and none of the patients required readmission. In a pathology report, one patient had a positive surgical margin. Our initial experience suggests that performing PN using VRSS is feasible with good short-term outcomes.

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Data availability

No datasets were generated or analysed during the current study.

Abbreviations

BSUs:

Bedside units

LPN:

Laparoscopic partial nephrectomy

PN:

Partial nephrectomy

PMR:

Positive margin rate

RN:

Radical nephrectomy

RCC:

Renal cell carcinoma

RAPN:

Robot-assisted partial nephrectomy

VRSS:

Versius robotic surgical system

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Funding

The authors have not disclosed any funding.

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Authors and Affiliations

  1. Department of Urology, Apuane Hospital, Massa, Italy

    Iacopo Meneghetti, Luca Mosillo, Chiara Catalano & Maurizio De Maria

  2. Department of Urology, ASST Santi Paolo e Carlo, Milan, Italy

    Maria Chiara Sighinolfi & Bernardo Rocco

  3. Department of Urology, Uroclinic Casa di Cura Nuova Villa Claudia, Rome, Italy

    Francesco Dibitetto & Mauro De Dominicis

  4. Division of Surgery and Interventional Science, Research Department of Targeted Intervention, University College London, London, UK

    Justin W. Collins

  5. Division of Uro-oncology, University College London Hospital, London, UK

    Justin W. Collins

  6. CMR Surgical, Cambridge, UK

    Justin W. Collins

Authors
  1. Iacopo Meneghetti
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  2. Maria Chiara Sighinolfi
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  3. Francesco Dibitetto
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  4. Justin W. Collins
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  5. Luca Mosillo
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  6. Chiara Catalano
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  7. Bernardo Rocco
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  8. Mauro De Dominicis
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  9. Maurizio De Maria
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Contributions

Author contributions: Iacopo Meneghetti and Francesco Dibitetto had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Meneghetti, Sighinolfi, De Dominicis, De Maria. Acquisition of data: Meneghetti and Dibitetto. Analysis and interpretation of data: Meneghetti. Drafting of the manuscript: Meneghetti, Collins. Critical revision of the manuscript for important intellectual content: Rocco, Mosillo, Catalano. Statistical analysis: None. Obtaining funding: None. Administrative, technical, or material support: None. Supervision: De Maria. Other (specify): We would like to thank you Chiara Zanini (Cambridge Medical Robotics Ltd., Cambridge, UK) for her assistance with the figures. Financial disclosures: Dr. Collins is Associate Medical Director at CMR Surgical. The same Author reports personal fees from CMR outside the submitted work. Funding/Support and role of the sponsor: None. All authors reviewed the manuscript.

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Correspondence to Iacopo Meneghetti.

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Meneghetti, I., Sighinolfi, M.C., Dibitetto, F. et al. Partial nephrectomy series using Versius robotic surgical system: technique and outcomes of an initial experience. J Robotic Surg 18, 73 (2024). https://doi.org/10.1007/s11701-024-01843-8

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  • DOI: https://doi.org/10.1007/s11701-024-01843-8

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